Emergency contraception is a critical resource for preventing unintended pregnancies after unprotected intercourse or contraceptive failure. While Plan B One-Step is a well-known option, several Plan B alternatives are available, each with unique attributes. This article delves into these alternatives, providing essential information to help individuals make informed decisions.

Plan B alternatives

Plan B Alternatives

1. Ella (Ulipristal Acetate)

Ella is a prescription-only emergency contraceptive effective up to five days (120 hours) after unprotected sex. It works by inhibiting or delaying ovulation.

Key Points:

  • Efficacy: Maintains consistent effectiveness throughout the five-day window.
  • Body Weight Considerations: May be less effective for individuals with a higher body mass index (BMI).
  • Side Effects: Potential side effects include headaches, nausea, abdominal pain, and menstrual changes.
  • Breastfeeding Advisory: The manufacturer advises against use during breastfeeding.

Availability: Prescription required; consult a healthcare provider.


2. Take Action (Levonorgestrel)

Take Action is an over-the-counter emergency contraceptive containing levonorgestrel, similar to Plan B.

Key Points:

  • Timing: Most effective when taken within 72 hours (3 days) of unprotected intercourse.
  • Side Effects: May include menstrual changes, dizziness, mild abdominal pain, and breast tenderness.
  • Accessibility: Available without a prescription.

Cost: Approximately $39.99; prices may vary by retailer.


3. AfterPill (Levonorgestrel)

AfterPill is an online-purchased emergency contraceptive containing 1.5 mg of levonorgestrel.

Key Points:

  • Timing: Should be taken within 72 hours, with higher efficacy when taken sooner.
  • Purchase: Available exclusively online; plan ahead as shipping may take 5-7 days.
  • Side Effects: Similar to other levonorgestrel-based pills, including nausea and menstrual changes.

Cost: Around $20; check the official website for current pricing.


4. My Choice (Levonorgestrel)

My Choice is another over-the-counter option containing levonorgestrel.

Key Points:

  • Timing: Optimal efficacy within 72 hours post-intercourse.
  • Side Effects: Potential for menstrual irregularities, fatigue, dizziness, and nausea.
  • Accessibility: No prescription needed; available online and in pharmacies.

Cost: Approximately $11.99; includes free shipping and a 30-day return policy.


5. Paragard (Copper Intrauterine Device)

Paragard is a copper IUD that can serve as emergency contraception and long-term birth control.

Key Points:

  • Timing: Must be inserted by a healthcare provider within five days of unprotected sex.
  • Efficacy: Over 99% effective in preventing pregnancy.
  • Duration: Provides ongoing contraception for up to 10 years.
  • Considerations: Suitable for those seeking a long-term, hormone-free option.

Availability: Requires a medical appointment for insertion.


Choosing the Right Emergency Contraceptive

When selecting an emergency contraceptive, consider the following factors:

  • Timing: Some options are effective up to five days, but earlier use increases efficacy.
  • Body Weight: Certain methods may be less effective for individuals with higher BMI.
  • Accessibility: Over-the-counter options offer immediate availability; prescription methods require consultation.
  • Future Contraception Needs: Options like Paragard provide long-term solutions beyond emergency use.

Conclusion

Understanding the variety of Plan B alternatives empowers individuals to choose the most suitable emergency contraception method based on timing, efficacy, and personal health considerations. Consulting with a healthcare provider can provide personalized guidance tailored to individual needs and circumstances.

Note: This information is based on available data as of January 2025. Always consult a healthcare professional for the most current advice.